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Tips: Avoid foaming cleansers and alcohol-based toners Use non-comedogenic, pH-balanced moisturizers Consider topical zinc, niacinamide, green tea extract Functional Medicine Testing for Acne Patients A comprehensive acne workup may include: Integrative Acne Treatment Timeline Month 1–2: Begin gut and hormone support Identify and remove food/environmental triggers Start peptides or key anti-inflammatory supplements Month 3–4: Optimize detox and blood sugar Reintroduce clean skincare Monitor symptom response and retest if needed Month 5+: Shift to maintenance Support microbiome and hormonal rhythm Consider peptides for immune support or scar repair When Medications Make Sense In some cases, medications may be helpful alongside a functional approach: Spironolactone : For androgen-driven acne Metformin : For PCOS with insulin resistance Topical retinoids : To prevent pore clogging Isotretinoin : For severe cystic acne unresponsive to all other therapies Functional providers will always aim to minimize long-term pharmaceutical reliance , but occasionally integrate them strategically

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34 Given the very few published studies on the use of EUS (and its associated interventions, e.g